Hewitt Road Family Dental Center | |
3060 Packard Rd Ypsilanti MI 48197-1978 | |
(734) 434-9815 | |
(734) 434-1836 |
Full Name | Hewitt Road Family Dental Center |
---|---|
Speciality | Dentist - General Practice |
Location | 3060 Packard Rd, Ypsilanti, Michigan |
Authorized Official Name and Position | Mark Andrew Cooks (DENTIST OWNER) |
Authorized Official Contact | 7344349815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hewitt Road Family Dental Center 3060 Packard Rd Ypsilanti MI 48197-1978 Ph: (734) 434-9815 | Hewitt Road Family Dental Center 3060 Packard Rd Ypsilanti MI 48197-1978 Ph: (734) 434-9815 |
NPI Number | 1407974710 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 09/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407974710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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